Medical Claims Supervisor

Robert Half • Winston-Salem, NC • 1d ago

Description

We are looking for a Medical Claims Supervisor to lead a dynamic team in Winston-Salem, North Carolina. This role requires a skilled leader with a strong background in healthcare claims and a commitment to driving performance while maintaining a supportive team environment. The ideal candidate will bring both industry expertise and leadership experience to help the department achieve its goals. This is an onsite position.

Responsibilities:

Oversee the daily operations of a team handling healthcare claims inquiries and adjudications.

Monitor performance metrics, including KPIs, to ensure the department meets its objectives.

Provide guidance and support to team members, fostering growth and accountability.

Address escalated claims-related issues and ensure timely resolution.

Collaborate with team leads to implement strategies that enhance efficiency and service quality.

Develop and maintain workflows for processing claims and customer service inquiries.

Train and onboard new hires, ensuring they understand company policies and procedures.

Maintain a cohesive team environment, balancing empathy with performance-driven management.

Evaluate and improve processes related to CRM systems to optimize customer interactions.

Coordinate with upper management to align departmental goals with organizational priorities.

Requirements - Minimum of 3 years of leadership experience, preferably in healthcare claims or customer service.

Strong understanding of healthcare claims processing, including Medicare supplements and adjudication.

Demonstrated ability to manage performance metrics and drive accountability within a team.

Familiarity with CRM systems and customer service best practices.

Proven track record of developing and implementing operational improvements.

Exceptional communication and interpersonal skills to effectively lead and support a team.

Ability to handle escalated issues with professionalism and resolve them promptly.

Experience in onboarding and training staff to ensure consistent service standards.

Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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